Table 5.
Factors* at admission period associated with pharmacologic pain management during the 90-day observation period among newly admitted nursing home residents with cancer (N=3,268).
Characteristic | Pharmacologic intensification (%) | Crude | Adjusted¶ |
---|---|---|---|
Odds ratio (95% Confidence Interval) | |||
Age, years | |||
65–74 | 27.3 | Reference | Reference |
75–84 | 22.4 | 0.77 (0.63 to 0.94) | 0.83 (0.67 to 1.02) |
≥85 | 21.0 | 0.71 (0.58 to 0.87) | 0.82 (0.66 to 1.01) |
Women | 24.0 | 0.89 (0.75 to 1.06) | 1.12 (0.94 to 1.34) |
Cognitive function | |||
No/mild impairment | 26.4 | Reference | Reference |
Moderate impairment | 21.0 | 0.74 (0.61 to 0.90) | 0.79 (0.65 to 0.97) |
Severe impairment | 19.7 | 0.68 (0.55 to 0.84) | 0.80 (0.64 to 0.99) |
Diabetes | 25.5 | 1.20 (1.02 to 1.43) | 1.17 (0.98 to 1.39) |
Anxiety | 26.1 | 1.24 (1.04 to 1.48) | 1.20 (1.00 to 1.44) |
Presence of pain | |||
No pain | 16.0 | Reference | Reference |
Mild/infrequent | 27.5 | 1.99 (1.61 to 2.45) | 1.85 (1.49 to 2.29) |
Moderate/severe | 24.0 | 1.66 (1.31 to 2.10) | 1.60 (1.26 to 2.03) |
Reference group for the outcome included residents who did not have an increase in OMEs and added adjuvants.
Odds ratios shown were adjusted for all resident characteristics displayed in the table.